Background and study aims: Training standards in gastrointestinal endoscopy are poorly defined even though different simulators are increasingly used for skills training. In 2001 a new training concept called “GATE – gastroenterological education – training endoscopy” was established, which provides a combination of background theory, video demonstrations, and simulator training. We aimed to evaluate the acceptance and training effect of this training model.
Methods: In total, 98 physicians participating in four training courses were included. Data were collected on baseline characteristics, acceptance (5-point Likert scale), and pre- and post-course knowledge through a structured questionnaire (A-type and Pick-N multiple choice questions). A total of 13 trainees were randomly selected for additional simulator assessment of training effects on manual skills (5-point Likert scale).
Results: A total of 78 trainees (80 %) provided complete data sets. The evaluation showed a positive acceptance of the training program (value 1 and 2, Likert scale); for example, 88 % of participants suggested the inclusion of the GATE course as an obligatory part of endoscopic education. There was a significant improvement in theoretical knowledge in the post-test set compared with the pre-test set (mean 3.27 ± 1.30 vs. 1.69 ± 1.01 points; P < 0.001). The training effect on practical skill showed a significant reduction in time needed for a procedure (445 ± 189 s vs. 274 ± 129 s; P< 0.01). The mean assessment rating for practical skills improved from 3.05 ± 0.65 at baseline to 2.52 ± 0.59 on Likert scale (P = 0.085).
Conclusions: The integrated GATE training improved theoretical knowledge and manual skill. The GATE courses have been accredited by the German Society of Gastroenterology, underlining the demand for implementing preclinical training courses in endoscopic training.
References
1
Kneebone R, ApSimon D.
Surgical skills training: simulation and multimedia combined.
Med Educ.
2001;
35
909-915
4
Hochberger J, Maiss J, Magdeburg B et al.
Training simulators and education in gastrointestinal endoscopy: current status and perspectives in 2001.
Endoscopy.
2001;
33
541-549
5
Maiss J, Wiesnet J, Proeschel A.
Objective benefit of a 1-day training course in endoscopic hemostasis using the “compactEASIE” endoscopy simulator.
Endoscopy.
2005;
37
552-558
6
Hochberger J, Matthes K, Maiss J et al.
Training with the compactEASIE biologic endoscopy simulator significantly improves hemostatic technical skill of gastroenterology fellows: a randomized controlled comparison with clinical endoscopy training alone.
Gastrointest Endosc.
2005;
61
216-218
7
Ferlitsch A, Glauninger P, Gupper A et al.
Evaluation of a virtual endoscopy simulator for training in gastrointestinal endoscopy.
Endoscopy.
2002;
34
698-702
8
Shirai Y, Yoshida T, Shiraishi R et al.
Prospective randomized study on the use of a computer-based endoscopic simulator for training in esophagogastroduodenoscopy.
J Gastroenterol Hepatol.
2008;
23
1046-1050
9 Homepage of the German Society of Gastroenterology (DGVS). http://www.dgvs.de
10
Götzberger M, Rösch T, Schmitt T et al.
Training courses for education in endoscopy: experiences with GATE, a supraregional training concept of the DGVS.
Z Gastroenterol.
2009;
47
1010-1014
12
Bauer D, Holzer M, Kopp V, Fischer M R.
Pick-N multiple choice-exams: a comparison of scoring algorithms.
Adv in Health Sci Educ Theory Pract.
DOI: DOI: 10.1007/s10459–010–9256–1
13
Gerson L B, van Dam J.
A prospective randomized trial comparing a virtual reality simulator to bedside teaching for training in sigmoidoscopy.
Endoscopy.
2003;
35
569-575
Erratum published in 2004; 36: 185
14
Kiesslich R, Moenk S, Reinhardt K et al.
[Combined simulation training: a new concept and workshop is useful for crisis management in gastrointestinal endoscopy.]
Article in German.
Z Gastroenterol.
2005;
43
1031-1039
15
Maiss J, Millermann L, Heinemann K et al.
The compact EASIE® is a feasible training model for endoscopic novices: a prospective randomized trial.
Dig Liv Dis.
2007;
39
70-78
19
Dafnis G, Granath F, Pahlman L et al.
The impact of endoscopists’ experience and learning curves and interendoscopist variation on colonoscopy completion rates.
Endoscopy.
2001;
33
511-517
20
Munz Y, Almoudaris A M, Moorthy K et al.
Curriculum-based solo virtual reality training for laparoscopic intracorporeal knot tying: objective assessment of the transfer of skill from virtual reality to reality.
Am J Surg.
2007;
193
774-783
